Action meningitis: Meningitis Research Foundation healthcare and awareness initiative in Malawi
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Action meningitis: Meningitis Research Foundation healthcare and awareness initiative in Malawi

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Action meningitis: Meningitis Research Foundation healthcare and awareness initiative in Malawi Action meningitis: Meningitis Research Foundation healthcare and awareness initiative in Malawi Presentation Transcript

  • MRF’s healthcare andawareness initiative in Malawi MRF Meningitis Symposium Bristol 3 October 2012
  • Barriers to TreatmentMRF funded research into barriers of recognition and action in treating ABM in MalawiRecognition barriers:• Misdiagnosis of malaria or other illness• Low recognition of severity of illness and need for social validation in community
  • Barriers to TreatmentAction barriers:• Priority focus on maternal health• Negative perceptions of health services (wait time, attention by health workers)• Financial constraints in community• Gender and age-based decision making in community View slide
  • Situation Analysis• Patients queue and wait for hours at primary clinics- first come, first served• Limited number of health workers, equipment and supplies• Patients have to wait hours/days for ambulance transport• Some die while waiting for assistance or transport View slide
  • Action Meningitis• Targeting health workers to break down barriers to treatment, improve treatment rates and healthcare delivery in Malawi and improve outcomes in children• Public awareness messages of meningitis signs & symptoms to raise awareness amongst public and prevent misdiagnosis
  • Primary Health Clinics• Priority: Improve identification of severe illness in children for treatment & referral to hospital using WHO triage system• Urban and peri-urban clinics with varying catchment populations
  • Primary Health Clinics• Training frontline health workers• Evaluating effectiveness and feasibility of triage system
  • mHealth & ETATUsing mobiletechnology toimprove health Emergency(mHealth)to establish WHO PriorityEmergency TriageAssessment and QueueTreatment (ETAT)system in clinics
  • mHealth & ETAT • Developing phone application of ETAT for health workers to screen children upon arrival/ in queue • Using phone data to track ETAT classification and hospital referrals
  • Community Awareness• Health Talk weekly radio programme on MBC- national radio• Health research news to Radio Listening Clubs and public• 8 episodes focusing on meningitis to improve recognition in communities
  • Community Awareness• Ambi-bikes at villages/ clinics for medical transport
  • Partners• Partnering with Malawi-Liverpool- Wellcome Trust, Malawi Ministry of Health, hospital and primary clinics in Blantyre• Working with D-tree International for mHealth component• Assessing feasibility and expansion across Malawi
  • Project Outcomes• Prioritise ill children and reduce wait times at clinics• Track referrals to hospital for severe illness in children• Increase knowledge and awareness of meningitis amongst public• Provide ambi-bikes for medical emergency transport